| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.42 | $96.42 | $217.85 | |
BCBS
| Facility | $167.16 | $167.16 | $167.16 | |
BCBS
| Professional | $167.16 | $167.16 | $167.16 | |
Cigna
| Facility | $278.10 | $278.10 | $372.96 | |
Cigna
| Professional | $203.01 | $203.01 | $278.10 | |
United
| Professional | $175.30 | $186.23 | $206.76 |